MARY ANN CLARK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001844

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

CLARK

Business Name

MARY ANN CLARK

Original Issue Date

07/12/1972

Effective Date

07/12/1972

Expiration Date

09/30/1990

City

SARASOTA

State

Zip

34233

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005